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Article: Prevalence of significant carotid stenosis in Chinese patients with peripheral and coronary artery disease

TitlePrevalence of significant carotid stenosis in Chinese patients with peripheral and coronary artery disease
Authors
KeywordsAsians
Carotid stenosis
Coronary disease
Epidemiology
Peripheral vascular disease
Issue Date1999
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS
Citation
Australian And New Zealand Journal Of Surgery, 1999, v. 69 n. 1, p. 44-47 How to Cite?
AbstractBackground: The prevalence of extracranial carotid stenosis in the Chinese population is not known. This study aims to investigate and compare carotid disease in several groups of high-risk patients. Method: Routine screening carotid duplex scans were performed on high-risk Chinese patients without cerebrovascular symptoms. These consisted of 249 patients with peripheral vascular disease, 207 patients with coronary artery disease, and 45 patients with abdominal aortic aneurysm. In addition, 220 patients with cerebrovascular symptoms and 58 patients with carotid bruits were scanned. A group of 108 healthy individuals was included as a control. The data of all 887 subjects were analysed. Results: Carotid stenosis of 70% or greater was detected in 37.7% of patients in the cerebrovascular disease group and 24.5% of patients with peripheral arterial disease; it was higher than in patients with coronary artery disease (11.1%), asymptomatic carotid bruit (10.3%) and aortic aneurysms (8.9%; P < 0.001). No significant disease was found in the controls. Patients with cerebrovascular disease have more severe degrees of carotid stenosis and significantly more total occlusions. Smoking, age and male sex were the main risk factors for high-grade (≥ 70%) carotid stenosis. Conclusion: The prevalence of extracranial carotid stenosis in Chinese patients is not low. Patients with peripheral arterial disease have the highest risk of significant carotid stenosis: routine carotid duplex screening in these patients is recommended.
Persistent Identifierhttp://hdl.handle.net/10722/84548
ISSN
2003 Impact Factor: 0.874
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheng, SWKen_HK
dc.contributor.authorWu, LLHen_HK
dc.contributor.authorLau, Hen_HK
dc.contributor.authorTing, ACWen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2010-09-06T08:54:14Z-
dc.date.available2010-09-06T08:54:14Z-
dc.date.issued1999en_HK
dc.identifier.citationAustralian And New Zealand Journal Of Surgery, 1999, v. 69 n. 1, p. 44-47en_HK
dc.identifier.issn0004-8682en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84548-
dc.description.abstractBackground: The prevalence of extracranial carotid stenosis in the Chinese population is not known. This study aims to investigate and compare carotid disease in several groups of high-risk patients. Method: Routine screening carotid duplex scans were performed on high-risk Chinese patients without cerebrovascular symptoms. These consisted of 249 patients with peripheral vascular disease, 207 patients with coronary artery disease, and 45 patients with abdominal aortic aneurysm. In addition, 220 patients with cerebrovascular symptoms and 58 patients with carotid bruits were scanned. A group of 108 healthy individuals was included as a control. The data of all 887 subjects were analysed. Results: Carotid stenosis of 70% or greater was detected in 37.7% of patients in the cerebrovascular disease group and 24.5% of patients with peripheral arterial disease; it was higher than in patients with coronary artery disease (11.1%), asymptomatic carotid bruit (10.3%) and aortic aneurysms (8.9%; P < 0.001). No significant disease was found in the controls. Patients with cerebrovascular disease have more severe degrees of carotid stenosis and significantly more total occlusions. Smoking, age and male sex were the main risk factors for high-grade (≥ 70%) carotid stenosis. Conclusion: The prevalence of extracranial carotid stenosis in Chinese patients is not low. Patients with peripheral arterial disease have the highest risk of significant carotid stenosis: routine carotid duplex screening in these patients is recommended.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANSen_HK
dc.relation.ispartofAustralian and New Zealand Journal of Surgeryen_HK
dc.subjectAsiansen_HK
dc.subjectCarotid stenosisen_HK
dc.subjectCoronary diseaseen_HK
dc.subjectEpidemiologyen_HK
dc.subjectPeripheral vascular diseaseen_HK
dc.titlePrevalence of significant carotid stenosis in Chinese patients with peripheral and coronary artery diseaseen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0004-8682&volume=69&spage=44&epage=47&date=1999&atitle=Prevalence+of+significant+carotid+stenosis+in+Chinese+patients+with+peripheral+and+coronary+artery+diseaseen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1046/j.1440-1622.1999.01501.xen_HK
dc.identifier.pmid9932921-
dc.identifier.scopuseid_2-s2.0-0032918996en_HK
dc.identifier.hkuros39724en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0032918996&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume69en_HK
dc.identifier.issue1en_HK
dc.identifier.spage44en_HK
dc.identifier.epage47en_HK
dc.identifier.isiWOS:000078072100013-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.scopusauthoridWu, LLH=7404903103en_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridTing, ACW=7102858552en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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